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No More to Spend - Neglect and the Construction of Scarcity in Malawi's History of Health Care (Hardcover)
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No More to Spend - Neglect and the Construction of Scarcity in Malawi's History of Health Care (Hardcover)
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Dismal spending on government health services is often considered a
necessary consequence of a low per-capita GDP, but are poor
patients in poor countries really fated to be denied the fruits of
modern medicine? In many countries, officials speak of proper
health care as a luxury, and convincing politicians to ensure
citizens have access to quality health services is a constant
struggle. Yet, in many of the poorest nations, health care has long
received a tiny share of public spending. Colonial and postcolonial
governments alike have used political, rhetorical, and even martial
campaigns to rebuff demands by patients and health professionals
for improved medical provision, even when more funds were
available. No More to Spend challenges the inevitability of
inadequate social services in twentieth-century Africa, focusing on
the political history of Malawi. Using the stories of doctors,
patients, and political leaders, Luke Messac demonstrates how both
colonial and postcolonial administrations in this nation used
claims of scarcity to justify the poor state of health care. During
periods of burgeoning global discourse on welfare and social
protection, forestalling improvements in health care required
varied forms of rationalization and denial. Calls for better
medical care compelled governments, like that of Malawi, to either
increase public health spending or offer reasons for their
inaction. Because medical care is still sparse in many regions in
Africa, the recurring tactics for prolonged neglect have important
implications for global health today.
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